Mini-Grant Application

1. Application Type

Select one of the following: *
We are a U.S.-based organization applying using our own EIN, entered below.We are a U.S.-based organization applying using a fiscal sponsor's EIN, entered below.We are a Canada-based organization (enter "n/a" below).
EIN (US-based organizations only) *Canada-based organizations enter "n/a".

2. Contact Information

Your Organization

Organization Name *

Contact Person *This person will be our primary contact during the application period and responsible for all reporting.

Address *

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone *

Email *

Website

Fiscal Sponsor (if applicable)

Organization Name

Contact Person

Address

Street AddressApt, Suite, Bldg. (optional)CityState / Province / RegionPostal / Zip CodeCountry

Phone

Website

3. Brief Summary

Summarize your request for grant assistance in 1-2 sentences. *

4. Indigenous Leadership

Is your organization Indigenous-led? *
We aim to provide at least 50% of our grants to groups that are indigenous-led; this means that decision-making power and leadership is held by Indigenous Peoples.Yes.No.

5. History

Please provide a short history of your organization (mission, goals, when founded, quick summary of leading projects, etc.). *
Does not apply to the fiscal sponsor organization. Limit: 150 words..

6. Project Description

Please provide a short description of the project proposed for this grant.
Detail specifically how these program funds will be used. Please include how this project deals with the impacts of mining activity, and what you expect the long-term benefits of your project will be. Include a timeline if possible. Limit: 300 words..

7. Organizational Budget and Portion of Total Budget Dedicated to Mining work:

What is your organization's overall yearly budget? *
If different from your overall yearly budget, what amount is dedicated to mining-related work? For example, your organization may work on many issues with a budget of $100,000, but perhaps your mining-related work is just $5,000 of that budget.

8. Project Budget

Please paste or type an itemized budget for the project on which you would like to use your grant. See the example below.

Example

Budget Item	Request to IEN/WMAN	Additional in-kind & other funding	Total
Consultant	$250	Donating 10 hours	$250 + 10hrs in-kind
Travel	$500	Donated car use	$500 + donated car use
Supplies	$750	Donated paint	$750 + donated paint
Lodging/meals	$1,000	$1,000 donated from Tribe X	$2,000

9. Other Funding Source

If you have another committed or potential funding source for this project, please enter it here.
Source
Amount

10. Issue Collaborations

If there are other groups in your area working on the project issue for which you are requesting funding, please explain how you overlap, collaborate, and/or are unique from those groups.
This is particularly relevant if partner groups are applying for funding from the IEN/WMAN mini-grant. Limit: 150 words.

11. Additional Information

How have you participated in WMAN and/or IEN events, conferences, projects, actions, etc.? *
Are you a member of any of WMAN’s or IEN’s email list serves? *
Yes, I'm a member.No, but I'd like to be added.No, and I'm not interested.
Do you want to be listed on WMAN’s public database? *
Database found at https://wman-info.org/participantsYes.No.
How did you hear about the mining mini-grant program? *

12. Previous Mining Mini-Grants Funding

Have you received funding from the mining mini-grant program previously? *
Yes.No.
If you answered yes above, when did you receive it? If you have received funds previously, please make sure that you have submitted a short report to us on that previous grant.

13. References

Please provide the names and contact information of two people not in your organization who can provide us with a reference (if asked) on the quality of your organization and/or this project for which you are proposing funding support.

Contact 1

Name *

Phone *

Email *

Contact 2

Name *

Phone *

Email *

14. For $5,000 Grant Application Only

Please explain how an additional $2,000 would aid your project in countering and/or minimizing regressive policies, regulations, laws or decisions made by Local, State, Provincial, Tribal, First Nations, or Federal agencies/administrations.
Limit: 600 words.
Will additional funding for your project directly benefit multiple organizations, tribes and communities? If so, tell us how.
Please paste or type an itemized budget listing expenditures for the additional $2,000 or less.

Verification

Please enter any two digits *Example: 12
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